Cease Parent Report

 

If you would like to report via direct email, you may do so.  However, this form reminds you of the important information that is really helpful for you to report.  Sometimes I send the same questions back each week, so it would save every one time to  use the form.  


 CEASE Parent Report

Please complete the following fields as completely as possible.





Your Email:            


Child's Name:        


CEASE Remedy    

& Potency (Or C.Diff or Candida)


Saturday Remedy 

if applicable


How has your child responded to the last two doses of the CEASE (or C.Diff or Candida clearing) remedy?

What have you noticed in terms of mood?  Digestion?  Sleep?  Other Physical Changes?

Is there anything new?  Has anything old returned?


How did your child respond to the Saturday Remedy? (If there is one...)

What have you noticed in terms of mood?  Digestion?  Sleep?  Other Physical Changes?

Is there anything new?  Has anything old returned?


Is there anything else you would like to add?